Physician

Richard Michael Kastelic, MD

According to 2025 Medicare claims, Richard Kastelic, MD (NPI: 1548265986) practices family practice in the Johnstown, PA market, with the plurality of this provider's patient population coming from Cambria, PA. This provider's primary affiliated billing organization is RICHARD M KASTELIC MD & ASSOC PC (NPI: 1821042417; TIN: 251864901) and primary practice location at 15905-3443. Kastelic is affiliated with the AdvantagePoint Health Alliance - Laurel Highlands, LLC (ACO ID: A4657), participating under the MSSP model.

Kastelic's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 388 traditional Medicare patients, billed 1,604 HCPCS/CPT codes, and received $70,959 in Medicare payments. The top billing code was 87428 (Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza). Part D data shows 17,618 prescription claims across 1,261 beneficiaries totaling $1,513,898 in drug costs, led by Eliquis (Apixaban). DME data shows 97 claims. Open Payments data shows 99 records totaling $27,944. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $1,060,087 to $1,513,898. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $14,462 and ending at $7,410.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	278	4,634	$110,667
2016	284	6,677	$104,600
2017	314	5,491	$92,506
2018	527	10,556	$147,903
2019	572	7,861	$172,005
2020	573	5,375	$131,346
2021	535	5,756	$152,018
2022	553	5,381	$146,069
2023	569	5,131	$126,671
2024	388	1,604	$70,959

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	940	16,394	$1,060,087
2016	1,024	16,926	$1,128,056
2017	1,046	16,500	$1,053,603
2018	1,523	19,429	$1,247,310
2019	1,629	23,931	$1,840,608
2020	1,559	19,347	$1,728,231
2021	1,428	17,490	$1,620,978
2022	1,389	17,274	$1,539,750
2023	1,297	17,486	$1,561,534
2024	1,261	17,618	$1,513,898

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	55	389	$12,331
2016	48	280	$5,739
2017	35	179	$3,323
2018	42	292	$5,274
2019	75	448	$12,842
2020	61	418	$18,037
2021	31	316	$12,914
2022	13	221	$7,440
2023	25	224	$5,355
2024	N/R	97	$1,947

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
87428	Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	29	33	$68
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	451	$65
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	180	304	$50
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	34	$31
G0444	Annual depression screening, 5 to 15 minutes	150	150	$17

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	466	20,221	$378,338
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	144	5,430	$112,299
Ozempic	Semaglutide	94	3,294	$103,566
Tradjenta	Linagliptin	96	6,310	$101,467
Jardiance	Empagliflozin	72	4,625	$85,437

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	17	$510
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	N/R	12	$453
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	26	$411
K0001	Standard wheelchair	Y	N/R	21	$343
A7038	Filter, disposable, used with positive airway pressure device	N	N/R	21	$231

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	97	$1,944	PFIZER INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	2	$26,000	Novo Nordisk AS
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Richard Michael Kastelic, MD?

Tedicare shows public-source Medicare data for Richard Michael Kastelic, MD (NPI 1548265986), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Richard Michael Kastelic, MD have ACO affiliation data?

Richard Michael Kastelic, MD is shown with ACO affiliation data for AdvantagePoint Health Alliance - Laurel Highlands, LLC (MSSP, ACO ID A4657).

What billing organization is linked to Richard Michael Kastelic, MD?

Richard Michael Kastelic, MD is linked to RICHARD M KASTELIC MD & ASSOC PC (billing NPI 1821042417) in the available physician profile data.

Does Richard Michael Kastelic, MD have Open Payments data?

Richard Michael Kastelic, MD has 99 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.